complete Test Bank for
Community and Public Health
Nursing: Evidence for Practice,
4th Edition by DeMarco. This
resource includes all questions
and fully worked answers for
Chapters 1–25
1) A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies providing
patient-centered care?
a. Having a client complete a self-reported functional status indicator and then reviewing it with the
client
b. Explaining to a client the benefits of computer-assisted robotic surgical techniques, which the
hospital recently implemented
c. Recording a client's signs and symptoms in an electronic health record
d. Performing continuous glucose monitoring of a client while the client is in the hospital
Verified Answer: A
Rationale:
Patient-centered care considers cultural traditions, personal preferences, values, families, and lifestyles. Clients
become active participants in their own care, and monitoring health becomes the client's responsibility. To help
clients and their healthcare providers make better decisions, the Agency for Healthcare Research and Quality
(AHRQ) has developed a series of tools that empower clients and assist providers in achieving desired outcomes,
including client-reported functional status indicators. Computer-assisted robotic surgical techniques, electronic health
records, and continuous glucose monitoring in the hospital are all technological advances in healthcare, but they do
, not help the client become a more active participant in his or her care, and thus are not good examples of
patient-centered care.
Community & Public Health Nursing 4th Edition Test Bank (DeMarco): 2
2) A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse
should recognize which social determinants of this client's health? (Select all that apply.)
a. Household income of $23,000 per year
b. Reading level of a third grader
c. Medication ineffective due to error in prescription
d. Originally from Sudan
e. No family in the area Verified Answer: A, B, D, E
Rationale:
The social conditions in which people live, their income, social status, education, literacy, home and work
environment, support networks, gender, culture, and availability of health services are the social determinants of
health. These conditions have an impact on the extent to which a person or community possesses the physical,
social, and personal resources necessary to attain and maintain health. A medical error on the part of the client's
primary care provider or nurse would not constitute a social determinant of the client's health.
3) A nurse successfully persuades an obese client to perform a weekly weigh-in at home using a digital
scale and record the weight in a log. This strategy is an example of:
a. Telehealth
b. Health information technology
c. Personal responsibility for health
d. Evidence-based nursing Verified Answer: C
Rationale:
Personal responsibility for health involves active participation in one's own health through education and lifestyle
changes. In this case, the client makes a positive change in lifestyle by monitoring body weight weekly. Telehealth
is the use of electronic information and telecommunications technologies to support long-distance clinical healthcare,
client and professional health-related education, public health, and health administration. Health information technology
(HIT) is defined as the comprehensive management of health information and its exchange between consumers,
providers, government, and insurers in a secure manner. Evidence-based nursing is the integration of the best
evidence available with clinical expertise and the values of the client to increase the quality of care.
Community & Public Health Nursing 4th Edition Test Bank (DeMarco): 4
4) A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task best
exemplifies public health?
Community and Public Health
Nursing: Evidence for Practice,
4th Edition by DeMarco. This
resource includes all questions
and fully worked answers for
Chapters 1–25
1) A nurse is striving to practice patient-centered care at a hospital. Which action best exemplifies providing
patient-centered care?
a. Having a client complete a self-reported functional status indicator and then reviewing it with the
client
b. Explaining to a client the benefits of computer-assisted robotic surgical techniques, which the
hospital recently implemented
c. Recording a client's signs and symptoms in an electronic health record
d. Performing continuous glucose monitoring of a client while the client is in the hospital
Verified Answer: A
Rationale:
Patient-centered care considers cultural traditions, personal preferences, values, families, and lifestyles. Clients
become active participants in their own care, and monitoring health becomes the client's responsibility. To help
clients and their healthcare providers make better decisions, the Agency for Healthcare Research and Quality
(AHRQ) has developed a series of tools that empower clients and assist providers in achieving desired outcomes,
including client-reported functional status indicators. Computer-assisted robotic surgical techniques, electronic health
records, and continuous glucose monitoring in the hospital are all technological advances in healthcare, but they do
, not help the client become a more active participant in his or her care, and thus are not good examples of
patient-centered care.
Community & Public Health Nursing 4th Edition Test Bank (DeMarco): 2
2) A nurse is caring for an older client who is struggling to manage her type 2 diabetes mellitus. The nurse
should recognize which social determinants of this client's health? (Select all that apply.)
a. Household income of $23,000 per year
b. Reading level of a third grader
c. Medication ineffective due to error in prescription
d. Originally from Sudan
e. No family in the area Verified Answer: A, B, D, E
Rationale:
The social conditions in which people live, their income, social status, education, literacy, home and work
environment, support networks, gender, culture, and availability of health services are the social determinants of
health. These conditions have an impact on the extent to which a person or community possesses the physical,
social, and personal resources necessary to attain and maintain health. A medical error on the part of the client's
primary care provider or nurse would not constitute a social determinant of the client's health.
3) A nurse successfully persuades an obese client to perform a weekly weigh-in at home using a digital
scale and record the weight in a log. This strategy is an example of:
a. Telehealth
b. Health information technology
c. Personal responsibility for health
d. Evidence-based nursing Verified Answer: C
Rationale:
Personal responsibility for health involves active participation in one's own health through education and lifestyle
changes. In this case, the client makes a positive change in lifestyle by monitoring body weight weekly. Telehealth
is the use of electronic information and telecommunications technologies to support long-distance clinical healthcare,
client and professional health-related education, public health, and health administration. Health information technology
(HIT) is defined as the comprehensive management of health information and its exchange between consumers,
providers, government, and insurers in a secure manner. Evidence-based nursing is the integration of the best
evidence available with clinical expertise and the values of the client to increase the quality of care.
Community & Public Health Nursing 4th Edition Test Bank (DeMarco): 4
4) A nurse performs a variety of tasks as part of the nurse's position at a hospital. Which task best
exemplifies public health?
